TRANSLATIONAL PULMONARY AND IMMUNOLOGY RESEARCH CENTER: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- TRANSLATIONAL PULMONARY AND IMMUNOLOGY RESEARCH CENTER (EIN 47-2364652)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-15
- IRS object ID
- 202343199349330944
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule J
- Schedule L
- Schedule N
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-11-15T21:23:46-06:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 910189318 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4747 EXECUTIVE DR SUITE 1300 | AddressLine1Txt |
| City | SAN DIEGO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92121 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 472364652 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE TRANSLATIONAL PULMONARY AND | BusinessNameLine1Txt |
| Business Name Line2 | IMMUNOLOGY RESEARCH CENTER | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | TRAN | BusinessNameControlTxt |
| Phone | 5624909900 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 E 28TH STREET SUITE 116 | AddressLine1Txt |
| City | LONG BEACH | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90806 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DR INDERPAL RANDHAWA | PersonNm |
| Person Title | CEO/CHAIRMAN | PersonTitleTxt |
| Phone | 5624909900 | PhoneNum |
| Signature | 2023-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DR | PersonFirstNm |
| Person Last | INDERPAL RANDHAWA | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | PATRICIA J MAYER | PreparerPersonNm |
| PTIN | P00188643 | PTIN |
| Phone | 8586271400 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DR INDERPAL RANDHAWA | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 E 28TH STREET SUITE 116 | AddressLine1Txt |
| City | LONG BEACH | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90806 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $13,971,244 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.TPRIC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2014 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | TO CREATE THE UNIQUE OPPORTUNITY FOR SPECIALISTS WITHIN THE RAREDISEASE COMMUNITY, INCLUDING CLINICAL PHYSICIAN RESEARCHERS,SCIENTISTS AND ADVOCATES, TO WORK IN A SINGLE COLLABORATIVEAND MORE EFFICIENT ENVIRONMENT. THE CENTER WILL FOCUS ON FIVEMEDICAL CONDITIONS: ADULT CYSTIC FIBROSIS, FOOD ALLERGY ANDINTOLERANCE, BRONCHIECTASIS, IMMUNE DEFICIENCY AND AIREWAYINFLAMMATORY DISORDERS. | ActivityOrMissionDesc |
| Contract Termination | Yes (X) | ContractTerminationInd |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 3 | VotingMembersIndependentCnt |
| Total Employee | 228 | TotalEmployeeCnt |
| Total Volunteers | 6 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,409,700 | PYContributionsGrantsAmt |
| CY Contributions Grants | $340,793 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $20,092,757 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $11,894,955 | CYProgramServiceRevenueAmt |
| PY Investment Income | $260 | PYInvestmentIncomeAmt |
| CY Investment Income | $72 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $1,735,424 | CYOtherRevenueAmt |
| PY Total Revenue | $21,502,717 | PYTotalRevenueAmt |
| CY Total Revenue | $13,971,244 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $11,511,863 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,626,870 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $597,758 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $8,469,988 | PYOtherExpensesAmt |
| CY Other Expenses | $6,942,466 | CYOtherExpensesAmt |
| PY Total Expenses | $19,981,851 | PYTotalExpensesAmt |
| CY Total Expenses | $12,569,336 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,520,866 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,401,908 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $5,349,856 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,168,526 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,920,880 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,963,128 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,428,976 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,205,398 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TPIRC IS A NON-PROFIT CLINICAL CARE AND RESEARCH CENTER THAT FOCUSES ONTHE DEVELOPMENT OF CUTTING-EDGE, INDIVIDUALIZED TREATMENT PROTOCOLSFOR RARE AND ORPHAN DISEASES UTILIZING COMPREHENSIVE DIAGNOSTIC TOOLSAND PATIENTDRIVEN RESEARCH. OUR MISSION IS TWO-FOLD TO ADVANCETREATMENT DISCOVERY AT A PACE WHICH HELPS OUR PATIENTS TODAY,WHILE BUILDING A SCALABLE MODEL OF SUCCESS TO ACCELERATE THE RATEOF RESEARCH DISCOVERY FOR ALL DISEASES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | Yes (1) | SignificantChangeInd |
| Expense | $5,727,972 | ExpenseAmt |
| Revenue | $11,894,955 | RevenueAmt |
| Desc | THE CENTER OPERATES AS A RARE DISEASE-SPECIFIC INSTITUTE THAT COMBINES BASIC/TRANSLATIONAL RESEARCH, CUTTING EDGE CLINICAL CARE AND ADVOCACY (DISEASE EDUCATION AND AWAREMENSS, AND FUNDRAISING) UNDER ONE PHYSICAL STRUCTURE IN LONG BEACH, CALIFORNIA. THE CENTER FOCUSES ON FIVE MEDICAL CONDITIONS; ADULT CYSTIC FIBROSIS, FOOD ALLERGY AND INTOLERANCE, BRONCHIECTASIS, IMMUNE DEFICIENCY AND AIRWAY INFAMMATORY DISORDERS. | Desc |
| Total Program Service Expenses | $5,727,972 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (1) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | Yes (1) | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 24 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 228 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 3 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | 0 | ConflictOfInterestPolicyInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANOOP LOHARA | PersonNm |
| Phone | 5624909900 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 E 28TH STREET SUITE 116 | AddressLine1Txt |
| City | LONG BEACH | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90806 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| INDERPAL RANDHAWA MD | |||||||
| FOUNDER/CEO/CHAIRMAN | 40.00 | Yes (X) | Yes (X) | $360,000 | $0 | $0 | |
| JEFFREY SHAPACK | |||||||
| BOARD OF DIRECTOR - MEMBER | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| PALMA GALLEGOS | |||||||
| BOARD OF DIRECTOR - MEMBER | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| PAUL ORLIN | |||||||
| BOARD OF DIRECTOR - MEMBER | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| ANOOP LOHARA | |||||||
| CHIEF OPERATING OFFICER | 40.00 | Yes (X) | Yes (X) | $18,383 | $0 | $1,395 | |
| LIDA MOHTASHAM | |||||||
| PHYSICIAN | 40.00 | $206,881 | $0 | $16,067 | Yes (X) | ||
| DIBANNI VASQUEZ | |||||||
| PHYSICIAN (THRU 8/31/22) | 40.00 | $160,898 | $0 | $8,622 | Yes (X) | ||
| VIVIAN ARANEZ | |||||||
| PHYSICIAN (THRU 7/31/22) | 40.00 | $147,628 | $0 | $4,328 | Yes (X) | ||
| PETER NGO | |||||||
| LABORATORY MANAGER | 40.00 | $141,795 | $0 | $0 | Yes (X) | ||
| NATHAN MARSTELLER | |||||||
| LAB SCIENTIST | 40.00 | $132,745 | $0 | $7,454 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,168,330 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $37,866 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| GGG IMMUNOTHERAPY | |||||
| 1440 EL MIRADOR | LONG BEACH | CA | 90806 | FOOD ALLERGY TREATMENT ANALYSIS PLANS FO | $360,000 |
| TRACY ANN CLARK MD APC | |||||
| PO BOX 4065 | HUNTINGTON BEACH | CA | 92605 | PHYSICIAN SERVICES | $322,083 |
| AMG PEDIATRICS LLC | |||||
| 18767 ASHFORD LN | HUNTINGTON BEACH | CA | 92648 | PHYSICIAN SERVICES | $129,750 |
| KAMBRIA RIPP | |||||
| 16549 TEAK CIR | FOUNTAIN VALLEY | CA | 92708 | PHYSICIAN SERVICES | $128,150 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $337,293 | GovernmentGrantsAmt |
| All Other Contributions | $3,500 | AllOtherContributionsAmt |
| Total Contributions | $340,793 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| DIAGNOSTIC SERVICES | 621110 | $8,269,366 | $8,269,366 |
| PATIENT REVENUE | 621110 | $3,326,273 | $3,326,273 |
| CLINICAL PATIENT SERVI | 621110 | $293,256 | $293,256 |
| OTHER REVENUE | 621110 | $6,060 | $6,060 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $11,894,955 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $72 | TotalRevenueColumnAmt |
| Exclusion | $72 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | LOAN FORGIVENESS | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $1,735,424 | TotalRevenueColumnAmt |
| Exclusion | $1,735,424 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,735,424 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,971,244 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,894,955 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,735,496 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $360,000 | TotalAmt |
| Program Services | $334,262 | ProgramServicesAmt |
| Management And General | $25,738 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,653,188 | TotalAmt |
| Program Services | $2,408,971 | ProgramServicesAmt |
| Management And General | $2,012,701 | ManagementAndGeneralAmt |
| Fundraising | $231,516 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,824 | TotalAmt |
| Program Services | $22,467 | ProgramServicesAmt |
| Management And General | $27,515 | ManagementAndGeneralAmt |
| Fundraising | $842 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $150,703 | TotalAmt |
| Program Services | $40,998 | ProgramServicesAmt |
| Management And General | $105,752 | ManagementAndGeneralAmt |
| Fundraising | $3,953 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $412,155 | TotalAmt |
| Program Services | $188,604 | ProgramServicesAmt |
| Management And General | $207,504 | ManagementAndGeneralAmt |
| Fundraising | $16,047 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,497 | TotalAmt |
| Program Services | $17,838 | ProgramServicesAmt |
| Management And General | $20,265 | ManagementAndGeneralAmt |
| Fundraising | $2,394 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $107,219 | TotalAmt |
| Management And General | $107,219 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,353 | TotalAmt |
| Management And General | $73,353 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $380,880 | TotalAmt |
| Program Services | $167,767 | ProgramServicesAmt |
| Management And General | $190,600 | ManagementAndGeneralAmt |
| Fundraising | $22,513 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $511,474 | TotalAmt |
| Program Services | $168,531 | ProgramServicesAmt |
| Management And General | $295,501 | ManagementAndGeneralAmt |
| Fundraising | $47,442 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $392,853 | TotalAmt |
| Program Services | $148,733 | ProgramServicesAmt |
| Management And General | $228,174 | ManagementAndGeneralAmt |
| Fundraising | $15,946 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $222,023 | TotalAmt |
| Program Services | $151,720 | ProgramServicesAmt |
| Management And General | $68,353 | ManagementAndGeneralAmt |
| Fundraising | $1,950 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $608,504 | TotalAmt |
| Program Services | $118,970 | ProgramServicesAmt |
| Management And General | $485,864 | ManagementAndGeneralAmt |
| Fundraising | $3,670 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,318 | TotalAmt |
| Program Services | $8,247 | ProgramServicesAmt |
| Management And General | $14,048 | ManagementAndGeneralAmt |
| Fundraising | $23 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,486 | TotalAmt |
| Management And General | $65,486 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $275,774 | TotalAmt |
| Program Services | $63,703 | ProgramServicesAmt |
| Management And General | $207,430 | ManagementAndGeneralAmt |
| Fundraising | $4,641 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,371 | TotalAmt |
| Management And General | $49,371 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| LAB CONSUMABLES | $3,253,133 | $1,432,917 | $1,627,930 | $192,286 |
| CLINIC FOOD PANTRY | $115,573 | $70,371 | $45,202 | |
| GIFTS AND DONATIONS | $10,664 | $20 | $9,427 | $1,217 |
| CLINICAL SUPPLIES (CONS | $3,780 | $5,705 | -$2,258 | $333 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $809,564 | TotalAmt |
| Program Services | $378,148 | ProgramServicesAmt |
| Management And General | $378,431 | ManagementAndGeneralAmt |
| Fundraising | $52,985 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,569,336 | TotalAmt |
| Program Services | $5,727,972 | ProgramServicesAmt |
| Management And General | $6,243,606 | ManagementAndGeneralAmt |
| Fundraising | $597,758 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $453,294 | BOYAmt |
| EOY | $408,931 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $196,357 | BOYAmt |
| EOY | $6,381 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $593,827 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,176,931 | BOYAmt |
| EOY | $3,172,792 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $195,653 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,591,364 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,096,121 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,803,389 | BOYAmt |
| EOY | $495,243 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $297,286 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $126,058 | BOYAmt |
| EOY | $592,240 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,349,856 | BOYAmt |
| EOY | $5,168,526 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,298,316 | BOYAmt |
| EOY | $925,764 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $112,664 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,509,900 | BOYAmt |
| EOY | $1,500,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $537,364 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,920,880 | BOYAmt |
| EOY | $2,963,128 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $727,726 | BOYAmt |
| EOY | $2,126,975 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $701,250 | BOYAmt |
| EOY | $78,423 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,428,976 | BOYAmt |
| EOY | $2,205,398 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,349,856 | BOYAmt |
| EOY | $5,168,526 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,401,908 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$1,414,895 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | $789,409 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Medical Research Organization | Yes (X) | MedicalResearchOrganizationInd |
Hospital Name And Address HospitalNameAndAddressGrp (3 entries)
| CityCityNm | State AbbreviationStateAbbreviationCd |
|---|---|
| VA WEST LOS ANGELES MEDICAL CENTER UCLA | |
| LOS ANGELES | CA |
| LOS ANGELES COUNTY - USC MEDICAL CENTER | |
| IRVINE | CA |
| MILLER CHILDREN'S HOSPITAL UNIVERSITY OF CALIFORNIA | |
| IRVINE | CA |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4: | FormAndLineReferenceDesc |
| Explanation | ADDITIONALLY, THE ORGANIZATION OPERATES CLINICAL CARE OPERATIONS. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $887,373 | OtherCostOrOtherBasisAmt |
| Depreciation | $564,581 | DepreciationAmt |
| Book Value | $322,792 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $479,641 | OtherCostOrOtherBasisAmt |
| Depreciation | $379,477 | DepreciationAmt |
| Book Value | $100,164 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $224,350 | OtherCostOrOtherBasisAmt |
| Depreciation | $152,063 | DepreciationAmt |
| Book Value | $72,287 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $495,243 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INVESTMENT IN FAI | Desc |
| Book Value | $297,286 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $297,286 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OPERATING LEASE RIGHT OF USE ASSET | $418,921 |
| FINANCE LEASE RIGHT OF USE ASSET | $173,319 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $592,240 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | LEASE LIABILITY | Desc |
| Amt | $537,364 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $537,364 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $11,400,028 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$1,414,895 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | -$1,414,895 | RevenueNotReportedAmt |
| Revenue Subtotal | $12,814,923 | RevenueSubtotalAmt |
| Other Revenues Not Included | $1,156,321 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $1,156,321 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $13,971,244 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $11,413,015 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $11,413,015 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $1,156,321 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $1,156,321 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $12,569,336 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | AS A QUALIFIED NONPROFIT CENTER, THE ORGANIZATION HAS BEEN RECOGNIZED AS BEING EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND SECTION 23701(D) OF THE CALIFORNIA REVENUE AND TAXATION CODE, EXCEPT TO THE EXTENT OF UNRELATED TAXABLE INCOME AS DEFINED UNDER IRC SECTIONS 511 THROUGH 515. THE ORGANIZATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH THE PROVISIONS OF FASB ASC TOPIC 740-10, INCOME TAXES, WHICH PRESCRIBES A RECOGNITION THRESHOLD OF MORE LIKELY THAN NOT AND A MEASUREMENT PROCESS FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. IN MAKING THIS ASSESSMENT, THE ORGANIZATION MUST DETERMINE WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION, BASED SOLELY ON THE TECHNICAL MERITS OF THE POSITION, AND MUST ASSUME THAT THE TAX POSITION WILL BE EXAMINED BY TAXING AUTHORITIES. MANAGEMENT HAS DETERMINED THAT ALL INCOME TAX POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED UPON POTENTIAL AUDIT OR EXAMINATION; THEREFORE, NO DISCLOSURE OF UNCERTAIN INCOME TAX POSITIONS ARE REQUIRED. THE ORGANIZATION'S POLICY IS TO INCLUDE INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS IN INCOME TAX EXPENSE. THE ORGANIZATION FILES INFORMATION RETURNS WITH THE INTERNAL REVENUE SERVICE (IRS) AND THE STATE OF CALIFORNIA. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | EXPENSES NETTED WITH REVENUE ON FINANCIALS 1,156,321. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | EXPENSES NETTED WITH REVENUE ON FINANCIALS 1,156,321. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| INDERPAL RANDHAWA MD | ||||||||||||||
| FOUNDER/CEO/CHAIRMAN | $0 | $0 | $0 | $0 | $360,000 | $0 | $0 | $0 | $0 | $0 | $360,000 | $0 | $0 | $0 |
| LIDA MOHTASHAM | ||||||||||||||
| PHYSICIAN | $206,881 | $0 | $0 | $0 | $0 | $0 | $4,400 | $0 | $11,667 | $0 | $222,948 | $0 | $0 | $0 |
| DIBANNI VASQUEZ | ||||||||||||||
| PHYSICIAN (THRU 8/31/22) | $160,898 | $0 | $0 | $0 | $0 | $0 | $4,800 | $0 | $3,822 | $0 | $169,520 | $0 | $0 | $0 |
| VIVIAN ARANEZ | ||||||||||||||
| PHYSICIAN (THRU 7/31/22) | $147,628 | $0 | $0 | $0 | $0 | $0 | $4,328 | $0 | $0 | $0 | $151,956 | $0 | $0 | $0 |
| PETER NGO | ||||||||||||||
| LABORATORY MANAGER | $141,795 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $141,795 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION USES A COMPENSATION SURVEY TO ESTABLISH GUIDELINES FOR COMPENSATION OF THE CEO AND OFFICERS. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GGG IMMUNOTHERAPY | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | 35% CONTROLLED ENTITY OF CEO | RelationshipDescriptionTxt |
| Transaction | $360,000 | TransactionAmt |
| Transaction | ANALYTICAL TREATMENT PLANS AND SLIT PRESCRIBING COVERING ACTIVE PATIENT BASE. | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule N IRS990ScheduleN
Disposition Of Assets Detail DispositionOfAssetsDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Assets Distri Or Expnss Paid | LEASEHOLD IMPROVEMENTS; EQUIPMENT; CUSTOMER/VENDOR RELATIONSHIPS | AssetsDistriOrExpnssPaidDesc |
| Distribution | 2022-03-31 | DistributionDt |
| Fair Market Value Of Asset | $1,200,000 | FairMarketValueOfAssetAmt |
| Method Of FMV Determination | APPRAISALS | MethodOfFMVDeterminationTxt |
| EIN | 873004130 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FOOD ALLERGY INSTITUTE | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 E 28TH ST STE 101 | AddressLine1Txt |
| City | LONG BEACH | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90809 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRC Section | C CORPORATION | IRCSectionTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor2 | Yes (1) | DirectorOfSuccessor2Ind |
| Employee Of Successor2 | 0 | EmployeeOfSuccessor2Ind |
| Owner Of Successor2 | 0 | OwnerOfSuccessor2Ind |
| Receive Compensation2 | 0 | ReceiveCompensation2Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE N, PART II, LINE 1 | FormAndLineReferenceDesc |
| Explanation | TRANSFER OF ASSETS TO FOOD ALERGY INSTITUTE IN EXCHANGE FOR A NONCONTROLLING INTEREST IN COMMON STOCK. JEFFREY SHAPACK IS A DIRECTOR ON THE BOARD OF TPIRC AND A REPRESENTATIVE AT FAI. THE TRANSACTION WAS APPROVED BY THE CALIFORNIA ATTORNEY GENERAL'S OFFICE DURING 2022. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 3 | IN MARCH 2022, THE ORGANIZATION CONTRIBUTED ASSETS TO FOOD ALLERGY INSTITUTE, IN EXCHANGE FOR COMMON STOCK UNDER SECTION 351 OF THE INTERNAL REVENUE CODE RELATING TO ITS PROGRAM TREATMENT. AS A RESULT OF THIS TRANSFER THE ORGANIZATION'S PROGRAM TREATMENT WAS REPORTED BY THE ORGANIZATION THROUGH MARCH OF 2022. THE TRANSACTION WAS APPROVED BY THE CALIFORNIA ATTORNEY GENERAL'S OFFICE DURING 2022. |
| FORM 990, PART VI, SECTION A, LINE 2 | JEFFREY SHAPACK AND MAGGIE SHAPACK ARE FAMILY MEMBERS AND BOTH SERVE ON THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 8B | THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE 990 IS EITHER REVIEWED AT A BOARD MEETING OR DISTRIBUTED ELECTRONICALLY TO BOARD MEMBERS IF MEETING SCHEDULING DOESN'T ALIGN WITH TIMING OF FILING. THUS, REVIEW AND DISTRIBUTION OF THE FORM 990 IS DONE PRIOR TO SUBMISSION OF THE RETURN. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION USES A COMPENSATION SURVEY TO ESTABLISH GUIDELINES FOR COMPENSATION OF THE CEO AND OFFICERS. ALL COMPENSATION FOR MANAGER AND ABOVE ARE REVIEWED AND APPROVED BY THE MANAGEMENT TEAM. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART VI, SECTION B, LINE 14: | THE ORGANIZATION FOLLOWS RETENTION POLICIES AS REQUIRED BY HIPPA, PCI AND MEDICAL REVIEW BOARD REQUIREMENTS. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FOUNDATION LABS LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 E 28TH STREET 317 | AddressLine1Txt |
| City | LONG BEACH | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90806 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | DIAGNOSTIC LAB | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Total Income | $7,116,378 | TotalIncomeAmt |
| End Of Year Assets | $4,257,650 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TPIRC | BusinessNameLine1Txt |